Individual
DR. SUSHRUTH REDDY MOKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
Mailing address
1859 PRESERVE BLVD, CANTON, MI 48188-2221
(607) 731-5390
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5151013968
MI
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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